Holinger L D, Benjamin B
Division of Bronchoesophagology/Otolaryngology, Children's Memorial Hospital, Chicago, IL.
Ann Otol Rhinol Laryngol. 1987 Nov-Dec;96(6):658-60. doi: 10.1177/000348948709600608.
In the United States, traditional treatment of the hypopharyngeal (Zenker's) diverticulum has been single stage transcutaneous diverticulectomy. Complications following this procedure include mediastinitis, vocal cord paralysis, esophageal stenosis, fistula, and recurrent or persistent diverticulum. Endoscopic diverticulotomy, widely used throughout Europe, is relatively straightforward and efficacious. Transoral management of these diverticulae has allowed symptomatic relief with a low incidence of complications. A new endoscope has been developed to facilitate use of the carbon dioxide laser for endoscopic diverticulotomy. The instrument combines the characteristics of the Dohlman endoscope (bilateral distal slots) with a wider proximal end for microscopic endoscopy, a smoke evacuator channel, a fiberoptic light carrier, and a handle adaptable for suspension microendoscopy.
在美国，下咽（Zenker氏）憩室的传统治疗方法是一期经皮憩室切除术。该手术的并发症包括纵隔炎、声带麻痹、食管狭窄、瘘管以及憩室复发或持续存在。内镜憩室切开术在欧洲广泛应用，相对简单且有效。对这些憩室进行经口处理可缓解症状，并发症发生率较低。已研发出一种新型内镜，便于使用二氧化碳激光进行内镜憩室切开术。该器械结合了多尔曼内镜（双侧远端狭槽）的特点，近端更宽以便于显微内镜检查，设有烟雾抽吸通道、光纤光载体以及适用于悬吊式显微内镜检查的手柄。
